| NPI | 1801331772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ELIZABETH OVALLE Licsw 603-212-6068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1763) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2017-01-11 |